Choroidal folds in a case of elevated intracranial pressure Yuka Minamikawa 1 , Kenji Sugisaki 1 , Tatsuro Tanabe 1 , Yujiro Fujino 1 1Dept of Ophthalmol, JCHO Tokyo Shinjuku Med Cent pp.711-714
Published Date 2015/5/15
DOI https://doi.org/10.11477/mf.1410211340
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Abstract. Purpose:To report a case of choroidal folds apparently due to elevated intracranial pressure. Case:A 60-year-old male presented with diplopia and impaired visual acuity in the left eye since 6 months before. Findings:The left eye showed hyperopia of +4 diopters and horizontal choroidal folds in the posterior fundus. He had no ocular hypotension, orbital tumor of scleritis. The cerebrospinal fluid showed elevated pressure of 210 mmH2O. He was found free of lesions causing elevated cerebrospinal pressure, leading to the diagnosis of choroidal folds secondary to idiopathic elevation of cerebrospinal pressure. Systemic treatment with isosorbide was followed by decrease in hyperopia and improved visual acuity 4 months later. Conclusion:This case illustrates that choroidal folds may develop secondary to elevated cerebrospinal pressure.

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